- Author:
Ma. Isabela P. Ong
;
Krisinda Clare Dim-Jamora
;
Maria Jasmin J. Jamora
- Publication Type:Case Reports
- MeSH: Human; Female; Aged: 65-79 Yrs Old; Mohs Surgery; Carcinoma, Squamous Cell; Tumors; Neoplasms
- From: Journal of the Philippine Dermatological Society 2024;33(Suppl 1):26-26
- CountryPhilippines
- Language:English
-
Abstract:
This is a case of a 74-year-old female who previously worked as a Metro Manila Aide and presented with a solitary erythematous, well-demarcated mass with hyperkeratosis on the right zygomatic area. It started as a pea-sized erythematous papule three years prior without associated symptoms. The patient self-medicated with Ketoconazole + Clobetasol Propionate cream for five months without improvement. Two months before consultation, the lesion enlarged and developed yellow hyperkeratotic crusts. A biopsy revealed invasive squamous cell carcinoma (SCC). Complete excision with adequate margins was recommended. The patient underwent Mohs Micrographic Surgery and reconstruction with a rotational flap repair. Histopathology of the excised tissue confirmed squamous cell carcinoma. No tumor necrosis or lymphovascular invasion was identified, and all resection margins were clear. Post-surgical management included wound care and medications. The case emphasizes early intervention and histopathological evaluation in managing growths especially in cases where patients have not consulted and self medicated instead.